From the Editor

100 years of solicitude: Do global traumatic events have a transgenerational effect?

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The past 100 years were witness to a barrage of highly stressful, life-threat­ening, anxiety-producing events: wars, large-scale disasters, assas­sinations, mass murders, and the obliteration of entire cities and the threat of annihilation of millions more people with nuclear weapons.


 

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Yet, important questions about the impact of these events have not been asked: Can there be a transgenerational neurobiological effect on the children and grandchildren of people who have been subjected to life-threatening, trau­matic societal events? Could the psy­chobiology of widespread anxiety and worry (solicitude) be experienced not only by the generation that witnessed and lived through those devastating events, but also by their progeny, who were not yet born during the traumatic events? And could there be epigen­etic consequences on a large scale, pro­ducing a generation that shares traits induced by the trauma experienced by the previous generation?

Did the rise of delinquency in the 1950s, followed by the anti-war rebel­lion, unprecedented sexual promiscuity, and substance abuse of the 1960s, be the result of genetic changes in the previous generation induced by living through World War II—after which the genera­tion that grew up in the 1960s was born?

In the late Gabriel García Márquez’s masterpiece novel, One Hundred Years of Solitude, the 1982 Nobel Laureate’s chronicle of the Buendía family across 7 generations is replete with dark and insalubrious events. The fictional fam­ily’s story is considered a metaphor for the tumultuous evolution of Márquez’s native Colombia, but that story is con­sistent with the concept of transgen­erational transmission of the biologic effects of stress, as each generation of the Buendía family manifests unusual, even pathological behaviors.

One hundred years of alarm, panic, and anxiety
Psychiatrists are keenly aware of the impact of stressful events on their patients’ mood and behavior, and of the association of life-threatening events with posttraumatic stress disor­der (PTSD). For persons who suffer the generalized anxiety of PTSD, further stressful life events can aggravate their condition and result in additional anxi­ety and solicitude.

It is not surprising that anxiety has been documented as the most common psychiatric condition in the United States.1 Consider the variety of per­turbations that have induced alarm, panic, fear, and simmering anxiety on a global scale over the past 100 years— starting with World War I, exactly a century ago.

War. The ruinous 4-year Great War was followed 20 years later by World War II, which caused tens of millions of casual­ties and the annihilation of Hiroshima and Nagasaki by the atomic bomb— escalating fear of nuclear warfare and radiation poisoning for decades to come. Add to that the Korean War, the Vietnam conflict, the First Gulf War, and the Iraq and Afghanistan wars. The war fatigue and mental exhaustion of the population are palpable.

Economic upheaval. After the Stock Market Crash of 1929 came the Great Depression, the recessions of the 1970s and early 1980s, another stock market crash in 1987, and, most recently, the financial crisis of 2008. Millions saw their wealth wiped out and their livelihoods disrupted, exerting enormous life-changing stresses on countless families.

Disasters. The sinking of the Titanic in 1912, the crash of the Hindenburg, the Three Mile Island nuclear accident, the meltdown of the Chernobyl and Fukushima Daiichi reactors, the space shuttle disasters, and the 9/11 terrorist attacks—all these trigger and perpetu­ate fear and worry about the one’s own, and one’s loved ones, abrupt and pre­mature mortality.

Epidemics. Millions died in the 1918 influenza pandemic, prompting wide­spread societal fears that re-intensified during subsequent epidemics: polio in the 1950s, swine flu in the 1970s, SARS (severe acute respiratory syndrome) in the 1990s, West Nile Virus, and avian influenza.

Assassination. The shooting of Archduke Franz Ferdinand of Austria sparked World War I a century ago, but what baby boomers, such as me, vividly remember is our angst over the assas­sinations of President John F. Kennedy, his brother Robert, and Rev. Dr. Martin Luther King, Jr; the attempted assas­sination of President Ronald Reagan; and the murder of John Lennon. Each assassination leaves a communal scar on millions, forever reminding them of the ephemeral nature of life at any rung of the social ladder.

Mass murder. The past 100 years began with the Armenian genocide in 1918, followed by the Holocaust of World War II, the Munich Olympics killings, the Jonestown massacre, the Oklahoma City bombing, and, to name a few, the mass murders at Columbine, Virginia Tech, Newtown, and Fort Hood.

Natural disasters can wreak havoc on peoples’ lives. Consider the annual tally of hurricanes (a long list, some—such as Katrina and Sandy—more infamous than others). Add to those storms the earthquakes, tsunamis, erupting vol­canoes, floods, and blizzards, and the result is suffering and anxiety on a mas­sive scale, even among those who are not affected directly.

A surprising facet of these disquiet­ing events is the resiliency of people. Life goes on, despite the agony, despair, and solicitude instigated by deadly events. But of those who buckle under the weight of adversity, many end up in a psychiatric clinic or hospital, and are disabled by their symptoms.

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